Mark W. Ketterer
PH.D. | Neurology - Clinical Neurophysiology
Henry Ford Health System, 2799 West Grand Boulevard, Detroit
Michigan, 48202
313-916-2436 Maps & DirectionsMark W. Ketterer is a Detroit, Michigan based neurologist who is specialized in Clinical Neurophysiology. Active license number of Mark W. Ketterer is 6301007377 for Clinical Neurophysiology in Michigan. His current practice location is Henry Ford Health System, 2799 West Grand Boulevard, Detroit. Patients can reach him at 313-916-2436. Mark W. Ketterer is PH.D. in Clinical Neurophysiology and his NPI number (Unique professional ID assigned by NPPES) is 1285782870.
Mark W. Ketterer is subspecialized with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Complete Profile:
Mark W. Ketterer speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mark W. Ketterer |
| Specialization: | Clinical Neurophysiology |
| Gender: | Male |
| Credentials: | PH.D. |
| Practice Address: | Henry Ford Health System, 2799 West Grand Boulevard, Detroit,
Michigan, 48202 |
| Phone: | 313-916-2436 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1285782870 |
| NPI Enumeration Date: | 08 Jan, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark W. Ketterer are as mentioned below.
| License Number | Specialization | State | Status | |
| 6301007377 | Clinical Neurophysiology | Michigan | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark W. Ketterer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| MK007377 | Other | | CHAMPUS-CHAMPUS |
| MK007377 | Other | | COMMERCIAL-COMMERCIAL NUMBER |
| PHD888810 | Medicaid | Michigan | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mark W. Ketterer
Henry Ford Health System, 2799 West Grand Boulevard
Detroit, Michigan |
| Zip: | 48202 |
| Phone Number: | 313-916-2436 |
Patients can reach Mark W. Ketterer at
Henry Ford Health System, 2799 West Grand Boulevard, Detroit, Michigan or can
call to book an appointment on 313-916-2436.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.